Cushing's syndrome Cov tsos mob tshwm sim, ua rau thiab kho

Zoo Siab

• Cov tsos mob tseem ceeb
• Cov ua rau Cushing's syndrome
• Yuav kuaj li cas
• Yuav kho tus mob li cas
• Muaj teeb meem tshwm sim

Cushing's syndrome, tseem hu ua Cushing's disease los yog hypercortisolism, yog kev hloov pauv keeb kwm los ntawm cov qib hormone ntau ntau hauv cov ntshav cortisol hauv cov ntshav, uas ua rau muaj qhov tshwm sim ntawm qee cov yam ntxwv tshwm sim ntawm tus kab mob xws li nce hnyav thiab rog rog hauv lub cev. piv txwv li thaj av thiab lub ntsej muag, ntxiv rau kev nthuav dav liab tawm ntawm lub cev thiab cov tawv nqaij o nws zoo pob txuv, piv txwv li.

Yog li, thaum muaj cov tsos mob no tshwm sim, nws raug nquahu kom sab laj nrog endocrinologist kom kuaj ntshav thiab kuaj cov duab thiab, yog li, kev kho tsim nyog tshaj plaws tuaj yeem qhia tau, uas tuaj yeem ua los ntawm kev siv tshuaj kho mob lossis phais, muab ua piv txwv.

Cov tsos mob tseem ceeb

Cov tsos mob feem ntau ntawm Cushing's syndrome yog cov tsub zuj zuj ntawm cov rog tsuas yog thaj tsam hauv plab thiab ntawm lub ntsej muag, uas tseem paub lub ntsej muag tag nrho lub hli. Ntxiv rau, lwm yam cim thiab cov tsos mob uas tuaj yeem cuam tshuam nrog tus mob no:

• Kev hnyav nce sai, tab sis nyias caj npab thiab ceg;
• Cov tsos ntawm dav, liab ua rau ntawm lub plab;
• Cov tsos ntawm cov plaub hau ntawm lub ntsej muag, tshwj xeeb tshaj yog cov poj niam;
• Nce siab;
• Ntshav qab zib, vim nws nquag pom tias muaj ntau dua cov suab thaj hauv cov ntshav;
• Txo kev poob siab libido thiab fertility;
• Kev coj khaub ncaws tsis xwm yeem;
• Mob leeg tsis muaj zog;
• Oily thiab pob txuv-nquag daim tawv nqaij;
• Kev nyuaj hauv qhov mob rov zoo;
• Kev tawm ntawm cov pob liab doog.

Feem ntau pom tias cov tsos mob ntawm ntau cov tsos mob nyob rau tib lub sijhawm thiab muaj ntau dua rau cov neeg mob uas muaj kab mob xws li mob caj dab, mob hawb pob, mob lupus lossis tom qab hloov khoom nruab nrog thiab leej twg noj corticosteroids rau ntau lub hlis hauv qhov ntau. Xws li ntawm cov menyuam yaus nrog Cushing's syndrome, kev loj hlob qeeb, nrog qhov siab qis, nce ntsej muag thiab lub cev plaub hau thiab plaub hau tuaj yeem pom.

Cov ua rau Cushing's syndrome

Tus mob no tshwm sim vim cov qib cortisol nce hauv cov ntshav, uas tuaj yeem tshwm sim los ntawm qhov tshwm sim ntawm ntau lub sijhawm. Ib qho kev tshwm sim nquag ntawm qhov nce no thiab uas nyiam txoj kev loj hlob ntawm tus kabmob yog lub sijhawm siv ntev thiab hauv kev txhaj tshuaj ntau ntau ntawm corticosteroids, uas feem ntau tau qhia txog kev kho mob xws li mob lupus, mob caj dab thiab mob hawb pob, ntxiv rau tseem raug qhia rau cov tib neeg uas twb muaj kev hloov ua nruab nrog cev.

Tsis tas li ntawd, Cushing's syndrome tuaj yeem tshwm sim vim tias muaj sijhawm nyob rau hauv lub caj pas pituitary, uas pom nyob rau hauv lub hlwb, ua rau deregulation nyob rau hauv kev tsim ntawm ACTH thiab, yog li, kev nce qib hauv kev tsim cov cortisol, uas tuaj yeem kuaj tau nyob rau hauv cov ntshav siab ntau hauv cov ntshav. Paub txog cov tshuaj cortisol yog dab tsi.

Yuav kuaj li cas

Kev kuaj mob ntawm Cushing's syndrome yuav tsum yog ua los ntawm tus kws kho mob endocrinologist raws li kev txheeb xyuas ntawm cov paib thiab cov tsos mob uas tau nthuav tawm los ntawm tus neeg, keeb kwm kev noj qab haus huv thiab kuaj ntshav lossis duab ntsuas.

Yog li, tej zaum nws yuav raug pom zoo los ntawm tus kws kho mob los kuaj ntshav 24 teev, kuaj qaub ncaug thiab zis mus kuaj rau qib hauv cortisol thiab ACTH kis hauv lub cev. Tsis tas li ntawd, kev sim kev ntsuas mob nrog dexamethasone kuj pom zoo, uas yog cov tshuaj uas ua rau lub cev ua haujlwm ntawm lub caj pas pituitary thiab, yog li, tuaj yeem pab txoj kev kuaj mob. Vim kev siv tshuaj dexamethasone, nws tuaj yeem pom zoo tias tus neeg tau mus pw rau hauv tsev kho mob txog 2 hnub.

Txhawm rau kuaj xyuas seb puas muaj cov qog ntshav nyob rau hauv lub caj pas pituitary, tus kws kho mob tuaj yeem thov kom ua tiav ntawm suav tomography lossis cov duab sib nqus resonance, piv txwv. Feem ntau, nws yuav tsum tau rov qab ua qhov kev ntsuam xyuas kom paub meej txog kev kuaj mob thiab pib kho kom raug, vim qee qhov tsos mob tshwm sim rau lwm yam kab mob, uas tuaj yeem ua rau txoj kev kuaj mob nyuaj.

Yuav kho tus mob li cas

Kev kho tus mob Cushing's syndrome yuav tsum tau coj los ntawm tus kws endocrinologist thiab nws txawv nyob ntawm qhov ua rau tus mob. Thaum tus kab mob tshwm sim los ntawm kev siv sijhawm ntev los ntawm corticosteroids, qhov kev txo qis ntawm cov tshuaj ntawm cov tshuaj yog qhia, raws li kws kho mob cov lus qhia thiab, yog tias ua tau, nws ncua.

Ntawm qhov tod tes, thaum Cushing's syndrome yog los ntawm cov qog, kev kho mob feem ntau suav nrog kev phais txhawm rau tshem tawm cov qog thiab tom qab ntawd yauv mus thaij duab hluav taws xob los yog tshuaj kho mob. Ib qho ntxiv, ua ntej kev phais mob lossis thaum lub qog tshem tawm tsis tau, tus kws kho mob yuav pom zoo kom tus neeg mob noj tshuaj los tswj cortisol ntau lawm.

Txhawm rau txo cov tsos mob ntawm tus kab mob nws yog ib qho tseem ceeb kom tswj kev noj zaub mov kom muaj ntsev thiab suab thaj ntau thiab noj cov txiv hmab txiv ntoo thiab zaub txhua hnub vim tias lawv yog cov zaub mov ntau nyob hauv cov vitamins thiab minerals thiab uas pab ua kom lub cev muaj zog.

Muaj teeb meem tshwm sim

Thaum kev kho mob ntawm Cushing's syndrome tsis tau coj los ua qhov yog, nws yog qhov muaj peev xwm muaj qhov tsis muaj tshuaj txaus los tswj uas yuav tsim kev phom sij rau tus neeg lub neej. Yog vim tias kev tsis txaus noj qog yuav ua rau lub raum ua haujlwm tsis zoo thiab lub cev tsis ua haujlwm.